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AF - 43725sue�ecr PER O. City of Fridley 14380 , ` AT THE TOP OF THE TWINS B� � L� I N G P E R M I T CEIPT NO. r � ; L __..__ COMMUNITY DEVELOPMENT DIV. � � r � � PROTECTIVE INSPECTION SEC. �� 1 � i_-__ A �/"';,j CITY HAII FRIDLEY 55432 NUMBER � REY. DA7E PAGE OF APPROVED BY L .,� 612-560-3450 910-F15 � � 9 21 77 JOB ADDRESS 1680 Catnelot I,ane N. E. 1 �EGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2$ 2 Harris �2 Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brickner Builders Inc. 1401 Kerry Circle N.E., Fridley 574-9871 3 CONTRACTOR MAILADDRESS 21P PHONE LICENSENO. :3ame 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO. 5 ENGINEER MAILADDRESS ZIP pHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OP WORK C� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK .Construct a 34' x 48' Dwellin and a 24' x 22' Garage SEPERAi"E PERI4I�TS RE � _ ore�� . E`ECtRtC • GAS Etc. 9 CHANGE OF USE FRO�EAtINC�, PlU1N8lNQ ANd St�Pt�„ R�QU�REp 8Y L STIPULATIONS pxovide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. Ins��lllation of drain tile in this area highly reco�runended.Provide City with truss designs before capping. Double every 3rd floor joist in living room or equivalent. 5EWER LOCATION: (Approx. 10' Deep In Street- M.H. in �Td$i� Culdesac Inv. 880.00) 10 feet west of water service. WYE ELEV: 879.94 TOP OF FOOTING: 882.94 Minimum WATER LOCATION: 36` East of Hydrant, 50' S.W. of Stop box serving lot to the eas . DRIVEWAY DEPRESSION COST: Alt. "A" 18' + 6' x$11.75 =$282.00 TME CI7Y OF FRIDLEY D4�S NOt GUARANtE� THE ACCURACY OF UTILITY tQCATiONS AND ELEYATlCt�S. '[H!S DATA IS FQIt WFQRMATION PtiF'!'OSTS OIuY ANp PERS�NS USING i/ $yp(Rp yLRIFY T�E q�}��nOp ON ?HE SIY� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATIN TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENT{LATING OR AIR CONDiTIONING. WOOCl FY'aItl2 THIS PERM17 BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PEfiIOD OF 120 DAYS AT R-�. 1412 'E' SiS 30, 016 Total ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTFEET PARKING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT yiFO�4SO $3O.Z3 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION O HE PERFORMANCE CONSTRUCTION. �S`ZZO.O6 $375.00 � PLAN CHECK FEE TOTA� FEE L� 'j + � � - � l , 0.02 $555.31 IGNATUf7EOFCONiRACTOR HORIZEDAGENT (DATEI WHEN PROP RLY VALIDATED THIS IS YOUR PERMIT ' � y � � ��-�T�-- SIGNATUREOFOWNERUFOWNERBUILDERI IDATEI BLDG INSP DATE / � � ��, ; , , > , �,, c��.c( a�.. l� Sa �y�- a8 f= a9�� a8'= az'x �9�= /��x Sl � = �x �8' - ��X��i � � � / ��/ ► (� 7 L �i Z �� 8 �� /ZG ��i� G7Z a.z X a y' = 3-Z 8 �� ai � � �' �� -�� ,�� r �' x �' � - x � z'= < ay �� X�v'= . � - � � z X .�,�z = �,��a,�y I - �T � Z 2�`i%� Z '� �/ V�3�r 0?� a- � 7 z k�sz -�� 9. �� - s�8 X y.�y = r3' Z �o, �� o� � . � �� -o, � � 6� �/Gt� , , �� _ ,537� // 19 Ge � Olo y �� 8a � t�/lo �/��.0� �.02 �. � 3 ��, o-� 5�".�, 3/ a8,� , � v ;��..: 8�?�� _ __ � ; • - � �' C1TY OF FfZIllLEY , � ��— ' APPLTCATIOi� FOR R�SIDr_NTII�L BUILDING PER��IITS ,�,,,,,,�,,,� ��/' (j��W, ALTERATIONS, ADDITIO1dS, OR REP/�IRS) , . �... � . , . � . � owra�R: ��Ii'�'� -r � auz�D�z�: �/�/ C��`,'.�� %�LD/zS / f� �-- � i / � �-e .�� G//� G G-e i Address: � Address: f' / % . . Tel. No. j.�7� , �� if �' _ l �/'/-� No. : �� d' � Street: �i'��% L� C� c� � LOT : � � BLOCY.: �' ADDITION : ��/T �/�� -� ` /j/�z° C.i%� �z-�i CORNER LOT: INSIDE LOT: � S;�TBACK: �f ^ SIDEYARDS: ��% Applicant attach to this for.in 'tFao Certificates of Survey of Lot and proposed • buildiiiy location drawn on these Certificates. DESCRI PTTON OF BUI LDI NG �, To Used As: � J [,. /`��`�� Front: __�,��/ Depth: �� Height: � ' --�- a2 i� %�L Square Feet: � / � Cubic Feet: �_ Front: � Depth: 2 L Height: L� � Square P'eet: J�_ z� Cubic Feet: �-s�"�� Type of Construction: Estimated Cost: $ 7.b Be Completed: ! Alt. A Alt. B Px'oposed Driveway Width If_ N�w Opening Is Desired � $ $ (S�E REVERSE SIDE OF SHiET) The undersigned hereby mal�es application for a permit for the work herein specified, agreeing to do all �aork in strict accordance with the �ity of Fx'idley Ordinances and rulings of the Department of Buildings, and hereby declares i:hat all the facts and representations stated in this application are true and correct. See reverse side for additional it� o atic�n. � ' � �''` DATE: � � �` � 7 SIGNr�TURE: ��F.-J�1�-f�--� `-..�. "� �� /. � v.� Stipulatians : �I��JYY�"� �� /� I�S�1�CA'Ti a�v �f ZY1A�i ^1 T/L E / �J �Q . D � �Nf � �,� �� Y ,2 �co �r, �. f � o t o , � C + w5s �D�S�c,NS 5�cti� �0.23 �, ��vv� o E c� r�+ cv � n.r T� ,�F ra�'t c �►�o o�"r 6f • `�Ac' `��5- °'� �t,r,, �� •�s� � 5✓ S'• 3/ . S, �,G�c. �c.cw� � . .�,. ,e�. ' • �� e;� r ��, �ti) ad2 � °_.... �! , � . ��, � g3�. 3J Page 1 of 4 �►� EXTERIOR ENVELOPE AVERAG� "U" COMPUTATION � r OWNER: DATE � r �� b � ,,�• �-C.��'� ,��L.t. .. SITF ADDRESS : C? �'�� t`� PHONE: ��' �� 7,% � ;+� � CONTRACTOR: � ��a��..'�jly �C��-��. ,r ��"i�"�",� . � � Detexmine working square footage of each � l. Total exposed wall area...... ��-` ;� � sq. ft. x .17 2. Toal roof/ceiling area ...... `-�� sq. ft. x .05 Total exposed wall area above floor = a. Total wall wind�w area ................................. b. Total door area ....................................... c. Total sliding glass door area ......................... d. Total fireplace wall area ............................. e. Total wall framing area (average 10$) .................. f. Total ri.m joist area .................................. g. wall area above floor .......................... h. wall area above floor .............. ... ..... i. wall area above floor .......................... j. wall area above floor .......................... � S/ Total exposed foundation area = 3 * = 3�'�. .� _ � g� � �a.3a . o. 7 • �I'1 a ,� . ti k. Total foundation window area ........................... �� 1. Total net foundation area above grade ................. 3. Determine "U" value of each wall segment (e.g. window, door, each separate wall section) a. /S�L - 3 � g ��U�� , .S�S' = U 3 . % % b. 3�- �g X ,.U„ •�'S = �I- �� . ,{3 -�'� X..U., , s'� _ a.. , 3 0 d. Yv X „U„ •L�.. - /7�� e. % ��? • d � X „u�� , l ,� _ !f'�' f f . � � � X ��U�� Ci ,�, _ / d . �J �-- .L. 9• � �,r� � • �. � X ��U�� f1 � � �� , �i/ � h. X "U" _ i. X "U" - �� X nUn _ k . X "U" _ 1. � � • �- r X ��U�� . � , � � %.� � 3 . .................... ........ Total � � �' � g , ;,�, �� If item #3 is the same as, or less than item #1, you have met the intent of SB� 6006 (c) 2. V , _� � Extexior Envelope Average "U" Computation Page 2 of 4 � `,� Total exposed roof/ceiling area = / � � m. Zbtal skylight area ............................ n. Total roof/ceiling framing area (average 10�)... o. Total net insulated roof/ceiling area........... Determine "U" value for each roof/ceiling segment m. X "U" _ ri. X "U" _ o. 3 9 X.,�,. , o = � 7� 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . �� = S's" 7-6 If total of #4 is the same as, or less than #2, you have met the intent of SBC G006 (c) I. Alternate Building Envelope Design To utilize �he total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2- l. + 2. _ 3. + 4. _ � -� WALL SECTIONS NO�Tc�: Use 10� of opaque wall area for . frame construction FIG. #1 FRI�4E L7ALL .� ,, -� u c. `'«�; ' � �' F.3G. �3 � � ~ 4 ` � �___—_ ', � , � � . � � . � �' : � � : ' -! • � � L+ _ �� ,5 � • V . . . : � .' • . . Page 3 of 4 Construction R-Valne 1. Interior air film 0.68 2 - c c7,�o � �� ,S� 3. � �" STv/� �. �5. 4. �z `� �i/�/L/�yiS� /• / s. /c �,��I s� ��.� �� a- � 6. Extermr air iilm 0.17 Total .�� //G % . /� 7 1. Interior air film 0.68 2. �L�� Sf�zcrRa�K a. ys, 3 . 3 'i'' /NS v �. // 4. � -- �A,��, �, ♦.,y 5. � d C ��'�� k N'r t''� �- % 6. E7cterior air f ilm 0.17 Total �y �� : , U7 1_ Interior air film 0.68 2. 3i�� /NSvc. /I 3 . � i '" /�/ h!1 /- �'� `� �` /. /Y 4 . � N �: /3A.s�. 5 . �,/� /�l sol✓ � �r. �. � 6. Exterior air film 0.17 Total � s' ,fS� � ' d� 1. Interior air film 0.68 2. 3./ L /.3G v c>(' j. t� 4. 5. 6. Exterior air film 0.17 . �� L ., 3 = � yi . , � e . • r- • , , 4 ` � `- � ..��a�T�...F� x . ' ` a ' ` . �-- ' :..�/« '. • .•6 � , /!(.`=- _ � , . " ' . !<( " ' . ' � — ^ , c 6 . ' � 111 � . . �<< = � , • • � � ' � " � �. �, � /(/ FIG. �#4 /!( � t� ` ' •. ` �- /�l c� -' . r. � � // ( „`-�. ..- �" ,' ' �t� � x ,� (!/ ' // ( ; /! ( ._. /// :� NOZ7:: Indicate tyoe, "?2" 'value, depth and placer:�ent of insulation. _ . _ . _'�'�'. . . , 0 R�OF/CEILING . y!' , �/G�% � r �%� .s l� "%/� n' � t, � �, �� 4�ti(��,��n j . �, .� �_.��-� . �� _ ; : . , �E .��. 1�ented �\�\ `.`/ �: J . Heat flow . . up .: FIG. #�5 � .. y iA�_?t��.�!N�'�'�p�-�i:�_'� L1'�rr.S�_�r+Lniy'.1•'L��-.G�� . . . ��.i �..r . v+ , �r }?eat flo�a up . �. ;•ven��d . _ ,FIG. �#6 �.. .. . . , •� .. t '� 1 �-'" ' ' � u ' ` rtu�V-VL'1VT� � . .. ' • -� . � . ' Hent � '. � , ,� • � � £low u� - ., ' ' . ; . .: . . ,. , . t�.r,�, i�� . , . • rage 4 or 4 Construction R-Value 1. Interior air film 0.61 2. yi.�' Sfl{t�Rac+� r�•�f,� 3. ) a� l�1J SU �. l�Ll�w Ai L�i 4. Exterior air f ilm (still) 0.61 Total a( , 6 � ' • °i 1. Interior air f ilm 0.61 2. 3. 4. Exterior air film (still) 0.61 Total 1. Inside air film 0.61 2. 3. 4. 5. Outside air film 0.17 Total Note: Use additional sheets if more space is needed for details and calculations � ., . � -��► �� ',�,� �.{��"�� .� �„ �„ (�,j tr � � u�uRBAN � nNQ1�11�BR1NQ q �J INC. �� i� � ��' � Ciuil, Municipal & Enuironmental Engineering � Land Surueying • Land Planning • Soil Testing Mr. Dave Harris 6279 University Avenue NE Frid 32 Re: Lot 28, Block 2 Harr�s Lake Estates Dea r . d/v�' �� , � � I'Main Office 571•6066 i 6875 Highway No. 6� N. E. ', Minneapolis, Minnesota 55432 { South Office 89!0-6510 i �i 1101 Cliff Road ', : Burnsville, Minnesota 55337 October 21, 1977 At the request of Mr. Tom Brickner and Mr. Ron Holden, we examined the foundation soils and water table conditions on the abave captioned lot. The soils were found to be natural sandy clay, typical of the subsoil found on adjacent lots. Based on previous work in this area, we feel the draintile along the back of lot 29 should be extended to the East along th� back of lot 28 and then to another sump on the East lot line of lot 28. This will complete a draintile loop that will enclose lots 28 and 29 and cut off ground'water flowing along the top of this sandy clay soil. As with lot 29, this tile system across the back must be notched into the clay to be effective and the bottom of the sump should be in sandy soil. We also recomnend tiling the house inside and outside of the footings with the lines connected through the w�ll and into a sump in the basement. The footings should have two #4 rein- forcement bars to prevent damage from differential settlements that may occur if underlying clay soils are nonuniform. If you should have any questions, please call: PJM/ j p cc: City of Fridley (Ron Holden� �/ Tom Brickner Robert Minder, Reg. Eng. E. A. Rathban, Reg. Suru. Wm. F.. Jensen, Iteg. F.ng. `vVm. K. tlleyer, <2eq. Erzg. Sincerely, SUBU ENGINfERING, INC. � ` Peter J. oli aro, P.E. Wni. E. Price, Reg. Eag. Gary R. Narris, Reg. Suru. H. Wi((iani Rogers, lieg. Suru. 13ruce A. Pa(erso�i, Reg. Eng. CIiY GF F�I�LEY APPLICATION FOR PowE� PtANTS AND NEATI��, COOLING, YENTILATION, REFRIGERA7ION AhD � .AIR �ONDITIONING $YSich1S AND DEVICES PARTIAL FATE SCHEDULE GRAVITY WAr'L'N AIR: RATE TOTAL �7ob Address r 0�/ � ��C (J r � Flirnace Shell & Duct Work $12.00 S , Replacement of Furnace 7.00 $ 7.00 $ Department of Buildings Repairs & A2terations-up to $500.00 4,oO $ City of Eridley Repairs s Alterations each add. $500.00 Tel. #571-3450 DtECH�l1�'ICAi Yt:A1L�! AIR: �rnace Shell & Duct Work to 100,000 BTU � each ad3. 50,000 BTU ReQla�ement of Furnace Repairs & Alterations-up to $500.00 Repairs & Alterations each add. $500.00 STFA,tii OR H�OT W.4TER SYS'1'�1: Boiler & Lines ;�p to 100,000 BTU eaca addn. 50,000 BTU Boiler only up to 100,000 BTU each a3dn. SO.d00 BTU OIL B URNER- to 3 gal. per hour each add. 3 gal. per hour S12.00 4.00 7.00 7.00 4.00 S ��2 • �/U $ $ S S $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 io.eo GAS BURNER- from 100,000 BTU to 199,399 BTU ' $10.00 (over 199,999 BTU see Fee Schedule) GAS FITTZNG FEES: lst 3 Fixtures x$ 3.00 Additior.al Fixtures x $ 1.00 Gas IL•inge to 199, 000 BTU x $10.00 • AIR CONDITIONING ,1 7a�/--e=�/!I ��Gm -�F 3'Q`�1`� FAN HEATING SYSTEb1S ��8 Fee ��u� VENTILATING SYSTEMS ALTERATIONS f, REPAIRS SCate Surcharqe TOTAL FEE ROUGH INSP. Date FINAL IP2SP. 3� 3 j-%� Date APPROVAL FOR PERMIT !� S s $ /Q, f/U S S � � S s 1�.Uo s� S S $ .50 $ �9•sa REINSPECP'ION FEE � (510.00) MII3IMiM FEE FOR ANY fiEATING PERMIT I3 $7.50 PLUS $.50 STATE SUR�iARGE The undersigned hereby makes application for a permit for the work here�n specified agreeing to do all work in strict accordance with the City Codes •- and rulings of the Department of ]3uildings, and hereby declares that all the facts and representations stated in this application are true and correct. l/ F'ridley, Minn. °�- ��- 7 . I9 / 0 owcrsa •�/C�/lir/r �E.' U�c�/L 1� �/C' S - KIND OF BUILDING ��/�j� USED AS �S /,�/ ��e' � TO BE COMPLETED ABOUT �� 7 ESTIMFITED COST �!�� OLD - NEW BUILDING PERM:T NO. PERMIT N0. �� DESCRIPi20N OF FUR'JACE/.9URNER HEATING or POWER PLANTS, Steam, Hat Water, Warm Air- No. ` mrade Name �'�,�fL',�J size No. �PI�AA /(/!� C Ca� acity �� Sq. Ft. EDR BTU f�J,�� HF � Total Connected Load Kind of Fuel �� BURNER - Trade Name� Size No. • Gapacity Sq. Ft. EDR BTU HP Company 4 -�Z%� Signed By Tel. No. %a2 %� ��'f1` CITY OF FRIDLEY . APPL,ICQTION FOR PUIMBING AND �SAS �Ii7IN6 p�RMIt m a, m u x• d Water e� A 'Q w��.�+ m c u a, w 5 Heater ar � .� �+ o� E�X+ ro f+ m mE fr p, y 1�i el m C � -.[i sL � C q 3 $ �� 6.vC a U a a�i � .��1 Sd itl q +a�7 A I1 O F. .-1 i0 �d 7 �tl N N N � v� u D w � vi 3 A w v� w U w Q 3 c� � c� O as lec L I �st 1 2nd 3rd 4 th (R) = kixture Connection Opening Connected with Sewer (�) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLU�ING FIXTURE RATES: N0. RATE Numt�er Fixtures p x 53.�0 FUture Fixture Opening �� x S2.00 New Fixture, O�d Openinq x $2.00 Catch Basin x $5.00 • Water 8eater - to 99.000 BT[1 ___[__ x $5.00 100,040 BT(f to 199,�00 BTU x$10.00 Water Softener x $7.00 New Ground Run Old Buildinq x $5.00 Flectric Water Heater x $5.00 G�`> FITTiNG FEES: . lst 3 fixtures �dditional Fixtures �s Range to 199,000 $TU REPAIRS $ ALTERATIONS First $100.00 each add. $100.00 or fraction � x '$3.00 x $1.00 x STo.00 $5.00 S2.00 State Surcharqe TOTAL FEE REINSPECT20N FEE ($10.00) TOTAL S .U� S (o.UO S $ $ �- � S S S $ S �Qv S S S S $ .50 S _� � Job Address �� d - �.�.�.- . . Department oE Buildings �� - City of Fridley . Tel. #571-3450 The undersigned hereby makes application for a pexmit for the rrork herein specified aqreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and eorrxt Fridley. Mn. � � �� . 19� � � OWNER ��- ,� ; i _ KIND OF BUILDING USED AS y X_ /� ��t�P�-tiL°yv TO S� COMPLETED ABOUT �'- �� S�� ESTIMATED COST OLD -�NEWIBUILDING PERMIT NO. PERMIT NO. �� , � `%� I ,[( ComPanY W2�'0 ` , /'/ �� Signed By .L�,G-- Tel. No. y� � � � / / ROUGfI INSP. Date FINAL INSP. � `� �. � � a ' Date APPROVAL FOR PERMIT � lA� MIN2MUM FEE FOR ANY PLUMBING PSRMIT 2S S7•50 p�g $.50 3TAT8 SC�E .r��,� .` � June 13, 1978 � ', ,µ ' CITY OF FRIDLEY 6431 UNIVERSI7Y AVENUE N.E., FRIOLEY, MINNESOTA 55432 . TELEPHONE ( 612)571-3450 Mr. Tom Bricl�er Brickner Builders, Inc. 6245 Ben More Drive N.E. Fridley, NIDt 55432 Re: Final Inspection at 1680 Camelot Lane N.E. Dear Mr. Brickner: A final inspection was made on June 12, 1978 of the above address and the following items were noted which must be completed before the structure can be finaled out; 1. Provide a smoke detector on the lower level by June 30, 1278. 2. Provide sleeve for gas 1Qg in fixeplace by June 3o, 1978, 3. Provide sod in the £ront and side yards by August 31, 1978. 4. Alter grading in the rear yard to divert surface drainage away from the patio area by June 30, 1978. We will expect the above items to be completed by the scheduled dates when reinspections will be conducted to determine compliance. If you have any questions, please contact me at 571-3450. Sincerely, RON HOLDEN Building Inspector Fdi/mh ,�' � ;' ;; ; ,, °� � �' �_ :� - � �Y �� CIYY OF FRiDLE'1� � �� : 8431 UNIVERSITY AVENUE N.E.� FRIOLEY, MINNESOTA 55432 ��° '� TELEPHONE (812}571-3450 ` October 17, 1978 ' �: 0 Mr. Tom Brickner � Brickner Construction Co. 1401 Kerry Circle N.E. Fridley, MN 55432 Re: 1680 Camelot Lane N.E. Dear Mr. Brickner: A reinspection was made on October 16, 1978 of the above address and the �ollowing item was noted which needs to be completed before the structure can be finaled out; Provide sleeve for gas log. We will expect this work to be done by October 31, 1978 when another reinspection will be made to determine canpliance. If you have any questions on this item, please contact me at 571-3450. Sincerely, R(JN HOLDEN Building Inspector RH/mh. , , . _ - �„ ,,..4. SUBJECT City of Fridley AT THE TOP OF THE TWINS g � I L D i N G P E R M I T r � � � � � `�____�� COMMUNITY DEVELOPMENT OIV. r � � PROTECTIVE INSPECTION SEC. � � � , /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF �"'"�'� ,'' 612-571-3450 910-Ft5 10/22/90 / / JOB ADDRESS 1680 Camelot Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR AODITION DESCR. 28 2 Harris Lake Estates 2 PROPERTY OWtdER MAIL ADDRESS Z�P David Kudabeh_ 1680 Camelot Lane N,E, 3 CONTRACTOR MAIL ADDRESS Z�P M L Construction 6515 Cecilia Circle, B1QOmington, MN 55439 4 AFCHITECT OR DESIGNER MAIL ADDRESS Z�P 5 ENGINEER MAILAD�RESS Z�P PERM 0640 � CEIPT 3 �' �Yy� A�PROVED BV SEE ATTACHED SHEET PHONE 788-9240 PHONE LICENSE NO. 942�6964 PHONE LICENSE NO. PHONE IICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW �J ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 28` Addition 9 CHANGE OF USE FROM STIPULATIONS See natations on pl�n. ro �raR��G Sefore digging call for ali utility iocations 454-tt042 RE�l�1�E� BY LAW TYPE OF CONST. OCCUP� SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR Alfi CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINEO THIS APPLICATION �- STALLS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION AND ORDINANCES GOVERNING THI �YPE OF WORK WILL BE COMPUED $22 � 7Q� WITH WHETHER SPECIFIED HEREI O NOT. THE GRANTING Of A PERMIT DOES T P SUM TO E T ORITY TO VIOLATE OR CANCEL THE pEfiMIT FEE PROV I F A OT R A OR LOCA� LAW REGULATING coN- $234.OQ ST C R T PE F F N E OF CONSTRUCTION. PLAN CHECK FEE � �� - � .- � Fire SC $22.70 SI NATUR OFCON' TOAORAUTHOAI DAGENT IDATEI WHEN PROPERLY VA , �; SiGNnTUREO:OWNEai�FOWNEABUiLDERi �DATE� BLOG �NS�� GROUP OCCUPANCVLOAD CU. FT. OFFSTREET PARKING GAFAGES SURTAX $11,35 4l FEE $268.05 11S IS VOUR PERMIT � _ / O/�� [ ] � � � �'� [ ] Construction Addre.ss: R-1 AND R-2 Buildir�g Permit Applicatio� ;0 ��Lo� _ � Effectiv+e 8/16/90 0 I�31 D2.SG7'l.p�lOri: L G � �� /�/ bC l.� p�- '/ �`�%2< 5 l� �/C £° _�.S �� owner rrame & Aclaress: �f�u� � �u.� f� � c o� �1.. # %c��`- �a7 G oontractor: � �on- s � � �1. # � �� 'G r �are��: (� S /5� �� c � � c��- C � l' c �'� �/�6��w ii�� .�S �� Attach to this applicatiari, a Certificate of S�ivey of the lot, with the pra�osed vonstn�c.�tioaz drawn oa� it to scale. I�,�_�+� M�M �;� �_ �yI{�.�)�t:MyIJ1�� ISVINC AREAS Letlgth � W'1C1t2'1 � H2'1C�'lt � SQ. Ft. C� O GARA�GE AREA: TPT�h Width Heic�t Sq. Ft. DDCR ARF.�,: Ler�gth Width iigt/G� Sq. Ft. OT��3t• ' � yU�x �d, � � 2�z, ��. � �.- a a, � � Cornex IAt [] Inside IAt [] Ft. Yd tback Side Yard Setl�aaks =_ Z�pe of Construction: �Gl /��-�= ��U� Estimated Oost: $ 22 _ Ov Approx. Cce�letion Date: /��o - � � �-� % % �� Proposed Driveway Width If New Openirig Is Ft. $ Wi + 6' See DA'I'E : � 6 � ( � � r � APPIIICANr: ��''�-�.tv �el . P�xmit Fee $ c;1 � �O Fire Sumhan�e $ a'd , i a State Surcharge $ ) � . 3 S SAC Chazge $ Driveway Escraw $ Park Fee $ s�wwer Main c��an�e $ �.�+, s�oris: $ a��, os �� ,c� t�s �3G 3,0� CITSC USE �Y �((� ��. S� #� Fee Schedule on R�verse Sic1e .001 x P�ermit Valuation (1/lOth �) S.5o/$l,000 valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Det.ermined by F�gineerin9 A�ent Ne�s-��'Y [] N�t Ne�es.ssa�Y [ l . �, , �Z� � u �z o�� - 4�, ov at � �' `� 18'9• oa ��, o� � i= ~ ,� � a A �1 � M NO � � u! U � LC 2nd lyd 4th n N + C � « � ... N X 5 � � M w �i ii a �i o (R) � fVWr� Conn�ction Openinq (•) - w.v rtxwr., Old Up�nlnq APPLICATION FO .� U � � � � ) ~ U � � t � U 8 y �1 H 4. U m! Z � i Conn�ct�d �lth RATE SCHEDULE PLUMBING FIXTURE RATES: N0. RATE w.� rlatur•. Iutur• Tlstur�• Old Op�ninq, M�v �lYtu-r� ��r Di�p�n��r �lov O!t •��ln C�taA s��ln Naln M�t�[ L��d�r Mydraulic V�lv� Susp or It�c�lv�nq Tank M�t�r Tr��tlnq Appll�nca Not M�t�t M��t�t G�• R�nq• G�• Dry�r N � � 3 Ef f ective l�lay 1, 199U C{TY OF FRIDLEY WMBlNG AND GAS FITTINfi PEF�'11T � Nac�r Job Midress ,�� ..cs' I /��°�./1/Z�I_.� (� N�ater � Deparcment of Bulldinqs u C►ty uf Fridley � p ;as 'lec Tcl. 11571-)�50 Srwrr Mater s 5.00 s J.50 S 1. SO S 4.00 S 5. 00 s 5. 00 s 5.00 S 5.00 S 5.00 S 7.00 g 5.00 S 10.00 S 10.00 Hack Flow Pr�v�nttr Irquarad. .. Yes () Dw �► �p! S S , u0 ALL OTHERS AND/OR REPAIRS AN� ALTERATIUNS t� oE V�lu� o! F�atus• oc Appli�nce State Surcharye Nu►or��ection F�e S (515. W) To1'A4 FEE TOTAL S S S S S 5 5 S S 5 S S S 5 5 5 . su S Is , S� The under�iqned hereby makes application for � psrrlt for th� wrk hsraln specified agreeinq to do a11 vork in strict accord�nc� wlth th� City Cod�� and rulinqa of che Departaent oE Buildinge, �nd h�c�by d�clar�� that •11 the facts and representation9 9 u ted Ln thls appltcatlon �s� tcu� �nd wcs�ct FrLdl�y, Mn. _�/!�vU ` . 19� a+�+eR � _ 3 � �,,,. � s �. � if , _;..� KIND OP BUII�ING /,J i�/(.C: �� !� � USED AS TO BE COMPLETBD 11BOUT � ,� ESTIMJITED C06T C7 OLD _.,NEM BUILDING PERMIT NO. PENMIT N0. �'-'� �P � % f� � �/ Co�WnY� � � 1C.�,.�,.�J:� ��f'c�.i'°"�� Siqn�d BY � o) �/Y�/1n.�c. l i.X a_-•-- �.,. �. �� 7 —�- �c� -�t� � RCx1GM INSP. oate FiNAL INSP. C ""� �� ` � nste APPROVAL FOR PERMIT `�'{!1! �1lNIltUM FI:E FOR ANY PLUMBiNG PERMIT IS f�5.00 PLUS THE 5.50 ST4TE SURCHAHGE 0 ��. t ��{ �u:`(d s � % � olr' . G►�/''< . .. of d r� �.�x' �`, l � �► r 1 � -� � c� X , A+ArI�� ,� � �� rc� � �G �� ___- �,�'r��r �1° a � CONSTRUCTION . C \ �e„ �' 1e �c� 2. . � �� `•� e � � , �� ,�� .� es��swc � � � � Q,• �v � � " . 'I g(� ��m�e.�o� l.ahe. l� �� d�� t�'�`� ,. `�.�.e.. �e.�,.�.� `' 1� l�. � `` ".�'�18 n s �-2-,nC. � � rs - � � s� � C��.�•�- �.r , ``�� "` ��c3o'N*.r�`�^+ �'� �s � � qy�; - C� °1 �'� � �� `. . ... ---� . . . �� i � 7�� . . � � �.. ` �� . , � -�� n i bg�� , � ` x � -� �� ( �i � � � � � �� C � . a I� � �- � i / � ��i � �( � 3 ��n t � c.� n e ��n�'o � �✓� In�/lE ' �� S��.t .. ,� � ��. ��..�. ��_.r 3.�-_� ��n., TO: Mr Mike Leuer M. L. Construction 6515 Cecelia Circle �ESIDENCE-ADDI'TION 1680 CAMELOT LANE FRIDLEY, MINNESO�. INTRODUCTION: tw�n cit� test�nq corporat�on 0 DATE: PROJECT NO: COPY TO: �-i�� i SOIL OBSERVATION 662 CROMWELL AVENUE ST. PAUL, MN 55114 PHONE 612/645-3601 November 12, 1990 4220 91-530 1-City of Fridley Bldg Insp Dept This report concerns our observations of the soil conditions for the planned addition to the residence at 1680 Camelot Lane in Fridley, Minnesota. Our work was performed at the request of Mr Mike Leuer of M. L. Construction. The scope of work we were authorized to perform was limited to the following items: 1. 2. 3. Observe the soils exposed in completed foundation excavations. Perform shallow hand auger borings within the excavated areas. Judge whether the observed soils are suitable for structural support. CONCLUSIONS: Based on our observations and shallow hand auger borings, it is our opinion the soils exposed in the completed foundation excavations consisted of naturally deposited soils. The majority of these soils, in the condition observed, were judged to be suitable for support of the planned residential addition. The surficial few inches of the exposed cohesive soils had become softened due to the presence of standing water. We recommended these soft surficial soils be hand excavated just prior to placement of foundation concrete. Within the majority of the area where excavation extended below foundation grade, a minimum oversize of appro�umately 1' or slightly more was obtained. However, the naturally deposited sandy clay and clayey sand exposed within the face of the excavation was judged to be suitable for lateral support of foundation loadings. At the time of our observation, we did recommend that additional excavation be performed along the east edge of the eastern foundation to provide a minimal lateral oversize of 2'. AS A MUTUAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES, ALL TWIN CITY TESTING CORPORATION REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS, AND AUTHORIZATION FOR PUBLICATION OF STATEMENTS, CONCLUSIONS OR EXTRACTIONS FROM OR REGARDING OUR REPORTS IS RESERVED PENDING OUR PRIOR WRITTEN APPROVAL. PROJECT NO: 4220 91-530 SOIL OBSERVATION RECOMMENDATIONS: DATE: November 12, 1990 PAGE: 2 The subsurface soils in this area appear to contain significant quantities of subsurface water. Due to the presence of this water, it is our opinion the sandy clay and clayey sand will be susceptible to moisture- volume expansion upon freezing. We understand the addition will be heated. In order to further minimize the potential for adfreeze to the vertical faces of the below grade masonry construction, we recommend that the following construction procedures be considered for the planned construction: 1. 2. Backfill adjacent to the below grade masonry should consist of free-draining sand- gravel or washed aggregate. Perforated draintile should be placed within the free-draining sand-gravel and provided with suitable discharge. 3. The exterior faces of the below grade masonry should be covered with insulation board or poly sheeting to minimize potential for adhesion of potentially frozen soils to the masonry surface. We observed the presence of soft fill and/or topsoil within portions of the floor slab area. We recommend these compressible materials be removed and replaced with compacted granular fill. PROTECT INFORMATION: The construction in progress will consist of a single-story, slab-on-grade addition to the south side of the existing residence. The addition will have overall dimensions of about 16' x 28'. The addition will be supported upon normal spread footings placed at minimum frost protection depth. We have no information regarding the actual foundation loads, but assume they will be less than 1500 psf, as is typical for this type of construction. No deep penetration borings have been put down in conjunction Therefore, we cannot warrant soil conditions below the depths of competent soils appeared to be present in the excavation bottoms softer/looser compressible soils might be present at depth. OBSERVATION METHODS AND RESULTS: with a preliminary subsurface exploration. our shallow hand auger borings. Although , this does not eliminate the possibility that On October 23, 1990, we performed a site visit to observe the soils exposed within the completed foundation excavations. Within the excavated foundation trenches, several shallow hand auger borings were put down to aid in depicting local subsurface soil conditions. The e�osed soils and those retrieved by the hand auger borings were classified in general accordance with ASTM:D 2488. Estimates were made of their strength properties. AS A MUTUAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES, ALL TWIN CITY TESTING CORPORATION REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTV OF CLIENTS, AND AUTHORIZATION FOR PUBLICATION OF STATEMENTS, CONCLUSIONS OR EXTRACTIONS FROM OR REGARDING OUA REPORTS IS RESERVED PENDING OUR PRIOR WRITTEN APPROVAL. PROJECT NO: 4220 91-530 SOIL OBSERVATION OBSERVATION METHODS AND RESULTS: (Cont.) DATE: November 12, 1990 PAGE: 3 Along the western foundation wall and the majority of the southern wall, except the eastern 8' to 10', the exposed soils consisted of clayey sand judged to be naturally deposited. These soils were judged to be in a soft to medium dense condition, suitable for support of anticipated foundation loadings. In some areas, the surficial few inches of the naturally deposited soils had become softened due to subsurface water intrusion. We recommended the surficial softened soils be hand excavated just prior to placement of concrete foundation. Along the east wall, and at the southeast comer of the addition, the naturally deposited clayey sands were judged to be in a soft to very soft condition. We recommended these soft soils be removed from the planned foundation area to depths required to expose more competent bearing materials. Since subsurface water will likely enter this deeper excavation, we reconunended that a washed gravel fill be placed and compacted within the completed excavation to re-establish planned foundation grade. On October 24, 1990, we again visited the site. During this site visit, excavation of the soft clayey sands at the southeast building corner and along the eastern building line was completed. The excavation generally extended to a depth ranging from 3' to 3 1/2' below planned foundation grade. The eacposed clayey sand and sandy lean clay within the bottom of the excavation was judged to be suitable for support of aggregate fill and foundation loadings. At the time of our site visit, a small amount of hand excavation work remained to be performed adjacent to the foundation at the southeast corner of the existing residence. No observation was requested or performed at completion of this small amount of excavation. Along the majority of the length of the trench excavation which extended below foundation grade, a very minimal lateral excavation oversize of about 1' or slightly more was obtained. The soils exposed within the lower portions of the faces of the trench excavation consisted of naturally deposited clayey sand judged to be suitable for support of lateral loads induced by the foundation construction. Therefore, in our opinion, this minimal oversize should be suitable. Along the eastern edge of the central portion of the eastern foundation, somewhat softer clayey sands were exposed within the side of the excavation. Therefore, we recommended the excavation in this area be extended laterally to provide a lateral oversize of 2' beyond the edge of the planned foundation. We were informed that, as recommended, washed aggregate would be placed within the excavated area to establish foundation grade. We were informed the thickness of the washed aggregate fill would range from a minimum of about 1 1/2' to a maximum of 3'. We recommended the washed aggregate fill be compacted into place with repeated impacts from the bucket of the excavation backhoe. REMARKS: It must be recognized that we do not practice in the field of surveying. Therefore, we must rely on elevation and location information provided by others. If the construction is redesigned or otherwise moved subsequent to our work, we should be informed so our firm can assess if additional engineering observation is required or suggest engineering alternatives. AS A MUTUAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES, ALL TWIN CITY TESTING CORPORATION REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIEN7S, AND AUTHORIZATION FOR PUBLICATION OF STATEMENTS, CONCLUSIONS OR EXTRACTIONS FROM OR REGARDING OUR REPORTS IS RESERVED PENDING OUR PRIOR WRITTEN APPROVAL. PROJECT NO: 4220 91-530 SOIL OBSERVATION REMARKS: (Cont.) DATE: November 12, 1990 PAGE: 4 Due to the fact that soils undergo a moisture volume expansion upon freezing, we are attaching an information sheet enumerating the precautions which should be observed during winter construction. TWIN CITY TESTING CORPORATION i� Gary Larson Field Engineer GAL/MPM/kmk %�� ?��i '" Michael P McCarthy, P.E. Principal Geotechnical Engineer AS A MUTUAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES, ALL TWIN CITV TESTING CORPORATION REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS, AND AUTHORIZATION FOR PUBLICATION OF STATEMENTS, CONCLUSIONS OR EXTRACTIONS FROM OR REGARDING OUR REPORTS IS RESERVED PENDING OUR PRIOR WRITTEN APPROVAL. PRECAUTTONS FOR EXCAVA'I'iI�TG AND REFILLING DURII�TG COLD WEATHER The w�inter season in this area presents specific pmblema for foundation construction. So�s which are illowed to freeu nndergo a moisture wlume expansion, rtsulting in s bss of density. These frosttxpanded soils will consotidate upon thawing, ciusing settkment of any structure supported on them. To prev�nt this settkment, frost �hould not be allowed to penetrate into the wils br bw any proposed structure. I�ieally, �vinter excavadon should ix lunited to sreas simall enough to be refilkd to s grade higher than footin� grade on the same day. Typically, these areas should be filled to iloor grade. Trench- ing t�ck down to unfmun soils for fonndation construction can then be performed just prior to footing placxment. The excavated trenches should be protected from freezing by mw�s of in- wlating or heating during foundation constr�ction. BBCkfiIling of the fonndation trenchea should be performed immediately after the below$rade foundation conatrnction is finished. In addition, any interior footings, or footings desig�xd w►ithout frost protcction thould Ix extended below irost depth, ankss adequate precautions are tak�n to prevent froat intrusion tmtil the building cu� i�e encbsed and heated. In many cases, final grade csnnot be attainod in one day's time, even though small areas are work- ed. In the event final grade cannot be attained in one day's time, frost can be expected to devrlop overnight. The depth of frost penetration can ix minimiud by kaving a layer of boae so� on top of the compacted material ov�ernight. Howev�er. any frost which forms in this loose Lyer, or enow �vhich accumulates, should ix compktely removed from the fill uea prior to compaction and ad- 3itional soil placement. Froun soils, or soils containing froun material or mow �hould never be n�ed as fill materiaL After the Btructure has been encbsed, aD floor slab areas thould be snbjected to ampk periods of heating to allow thswing of the soil sy�tem. Alternatively, tht froun �oils can be compktely removrd and de replaced with an engineered fdl. The floor dab areas ahould be checked st ran- dom and representativ�e bcations for cemnant areas of frost, and denaity tests �honld be performed to document f�ll compution prior to �tab pboement. Due to the potential probkms assoclated w+ith fill plaotment during oold �veather. uty filling operadon: �hould be nionitored by a full-time, on�site �oils technician. FuU-time monitoring aids in detecting aress of froun material, or potential problems with froztn material w►ithin the fill, w that appropriate measurea can be taken. T6e choioe of fill material is particularly important during cold weather, sinoe ckan �ranulsr iill materials can be plscxd and compacted mon efficientty than dtty or clayey �a►ils. In addition, �reater tnagnitudes of heaving can be expccted with freezing of the more frost susceptibk dlts sad cLys. � If more �pecific frost information or cald wather data eoncerning other oonstruction materisls i� required, pkase conbM us. � tu�n c� t�no .� ��.�+ CITY OF FRIDLEY Effective oate May �, �9as APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE QESIDEhTIAL � Furnace Shell and Duct Work, Burner (�so replacement furnace) Gas Piping (pipinq needed with new furnace) Gas Ranqe Gas Dryer RATE $ 20.00 $ 10. 00 $ 10.00 $ 10.00 ' Air Conditioninq (all sizes� $ 10.00 All Others/Repairs and Alterations - 18 of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 18 of Value of Apgliance or FTork Reinspection Fee State Surcharge TOTAL FEE ($15.00) Rouqh Insp. Date Final Insp. L � ��Q ` �U Date � �, � Approval for Permit i _� l� t� ��-�-� L-C,�G'�� MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00� PLUS $.50 STATE SURCHARGE +Air Conditioners can not be placed in side yard without written pe:mission frcm adjoining neiqhbor. TO'PAL Job Address �'�j� C..t�N7��p� Gc7N�_ $ Department of Building�, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley $ Tel. #571-3450 $ The undersiqned hereby makea application for a peYmit for the work herein specified agreeing to do all work in strict accordance with the C1ty Cades $ and rulinqs of the Department of Buildings, and hereby declares that all the facts and representationa stated in this application are true and correct. $ Fridley, Minn.`i�:��„-'�-T t�!/ ,/(�3; 19 9'G $ � $ .SO $� IS �G S �ti� �� OWNER KIND OF BUILDING 5.'_,�.,�( _- �� _ --�-- i' USED AS �4S%�z.✓� � T� BE COMPLETED ASOUT r(/�G19'o � ESTIMATED COST 1!` �� OLD - t1EW BUILDING PERMIT NO. PERMIT NO. !��F' DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR BTU NP Total Connected Load Kind of Buel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP �►p�Y n,i''�,�: M� �-A�G Signed Hy �f -�i�/i/• ��Gti�✓`� Tel. No. y/ / ��6�` Fill out back side for stack verification on replacement furnaces sue�ecr PERM . c�ty of Fridley 714 6 AT THE TOP OF THE TWINS g U I L D I N G P E R M i T r ; � R T NO. � ; y �� COMMUNITY OEVELOPMENT OIV. r � � PROTECTIVE INSPECTION SEC. ��-/a3 i•.-- �;/'��;'j CITV HALL FRIDLE� 55�32 NUMBER REV DATE PAGE Of APPROVEO 8Y i �� b12-571-3450 910-F15 8/12/98 � � 10B ADORESS 1680 Camelot Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACMED DESCR. 28 2 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL AODRESS 21P PHONE K 'n & Kri t'ne -2 2 3 CONTqACTOR MAII. ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDfiESS ZIP PMONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and ara e 28 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAO SEPARATE PERMITS ARE REOUIRED FOF ELECTRICAL, PLUMBINCa, HEATING, VENTILATING OF AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONEO FOR A PERI00 OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSIREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2335 �1. 16 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OF THE PERFORMANCE OF CONSTRUCTION. ]L}. ],rj F1Z' SC �2. 33 PLAN CHECK FEE TOT FEE .24 S�GNATUAE OF CON � RACT OA A OA�2ED ENT IDATEI EN V LID THIS U ER ` �,,c f� • i'2 `�i � ' .. SiGNATUREO OWNEAi�FOWNE BUiLDER1 IDATEI � BLO NSP f)AT NEW [ ] Effective 1/1/98 ADDN [ ] - CITY OF FRIDLEY ALTER [�,� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �/ BUILDING PERMIT APPLICATION �� % ��a ,? .� ConstructionAddress: ( 4D� �aVY�t.Gt � � � � � Legal Description: Owner Name & Address: �� V L� � ��}' �( S� j►`�. � Y(� 1'1-'�-� Tel. �# �`� f'' ��S Z Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length : GARAGE AREA: Length _ DECK AREA: Length . DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. OTHER: CZP, � l�.C.�'C' C-t�vu� �� r.wlv �' ��Gt� vr.t -r��-- �. � 33 �` Construction Type: ��V� � Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$• DATE: � � � 2 • � � A,PPLICANT: 7-j/�/ Tel. #� j`%�� "' ��Z Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ �`� �� Fee Schedule on Reverse Side $ � �� .001 of Permit Valuation (1/lOth%) . $ %. l(v $.50/$1,000 Valuation $ $1000 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ '�� , • . - : �� c�� ITY OF �RIDLEY BUILDtNG IiVSPECTION v 9 5A31 University Ave fdE � 9 =fldl�y, MN 55432 L � 9 D ` n � 763-572�3604 FAX 763-571-1287 RATE SCHEDULE Aesidential Furnace Shell and Duct Work, 8urner & also Re�lacement Furnace Gas Piping (fVe�v FurRace, Fireplace, Insert) � Gas Range r � J a Y L Gas Dryer ��— �c�� -� Effective 4/1/2Q04 APPLICATlON FOR POWER PLANTS AND HEATING, COOLING, VENT(LATfON REFRIGERATI0�1 AND AlR CONDITIONI{�G SYSTEMS AND DEVICES � Tota $35.00 $ 5 , � $10.00 $ $10.00 $ $10.00 $ *Air C4nditioning-All Siz�s $25.00 $ �S,CJ� Ca.r r i-er 3��X � ��(v �3`�on All Other Repairs vr Afterations (List on Backj 1% of Value of Appliance or Wor�c $ Minimum Fee $15.00 for Residential or 596 of cast of Improvement whichever is greater on work less than $300.00 � CommercialJlndustrial/Institutional } 1.2596 of Value of Appliance or Work (List on Back) � Minimum Fee $35.00 for Commerciaijindustriaijirtisiiiuiio��a� � Y � State Surcharge T07ALFEE JOB ADDRESS r�g C� �[�.w�-e.l O-� L-�-�n � Owner �O�'1 E � �=`iMG r-c� Building Used As \`�S� �` � �� ESTfMATED COST �CaCX� � W PERMIT hi0 DESCRIPTION OF FURNACE AND BURNER 1� of Heating Units�._ Circle One (Steam) (Hot Wat (Warm Air) Trade NameS �� rr: P� '�'� ��. V 1��3� 0 Size No. BTU �14 OC7U Hp EDR Fuel Na� �� c c�s Total Connected Laad Bumer Trade Name Size No. BTU HP EDR The under5igned hereby makes application for a permit for the work he�ein specified agreeing to do ali work in strict aocordance with the City Codes $ and rulings of the Building Division, and hereby declares that all the faets � .50 � $ �o. 5d v ; REINSPECTION FEE $50.04/HOUR �*Air Conditioners can not be placed in side yard w(thout �vritten approval N from adjoining property owner - oopy to City N � � FILL OUT BACK SIDE FOR STACK VERlFICATION ON REPLACEMENT FURNAC� ¢ a!?� represent�tior�s stated in this application are true and correct. � CENTERPOINT ENERGY HEA7ING CO 13562 CENTRAL AVE NE BLAINE, MN 55304 Sighed �� Tel # �63-757-6202 FAX #! 763-757-6701 Date � ` �� Appraved by Rough-in Date Finai Date ze•d �alol FILL IN COMPLETELY FOR REPLACEMEN7 FUEL BURNING APPLIANCE P�RMITS COMMON VENT, VENT CONNECTOR AND COMBUSTIIJN AIR VERIFiCATION When replacin� an existinq furnace, the undersigned hereby verifies that the venting has been examined and is free from nast, deterioration, obstructi<�ns, and is securely supported and firestopped where required. Yes (� No () The venting system is plastic/PVC and meets al{ current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes (� No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specificatians. This do�;s include AGA-GAMA Category I Central Furnace Venting Tables fior fan assisted and natural draft appliances. The existin combustion air is sized and installed to meet the current r,odes and manufacturer's specifications. When required to install a new co_mbustion air. it will be sized and installed to meet the current codes and manufacturer's specifications. Yes ( � No ( ) Yes ( �1 No ( ) Yes � ) No ( ) When installin a new ventin s stem, the undersigned hereby verifiE:s that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumar,s Venting Tables for fan assisted and natural draft appliancES. Yes (� Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes, No ( ) Yes � ) No ( ) Appliance Tvpe and Size/Cammon Vent and Vent Cunnector Information Appliance #1 Type `i��, BTU lnput f� 6l� Fan flssisted or Nat 1` �F Appliance #2 Type �.� �=d�K BTU Input 3 � Fan �lssisted or Nat �� Appliance #3 Type BTU 1 nput Fan �lssisted or Nat Total Appliances __�. Tatal Btu lnput f� Common Vent Type L'l- r`�� Vent Height ,� �% Diarrieter �. >r inches Appliance #1 Vent Connector Height � � ft Length �� ft Diameter y„ in Type ,�!� Appliance #2 Vent Connector Height �=ft Lengih .� - ft Diameter �_in Type CL� Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS• (Describe} CENTERPOINT ENERGY HEATING CO: 13562 CENTRAL AVE NE BLAIN�, MN 55304 _ �- ��c�.�S Signed By: Date ; �A/�Gt '�I i RJ,9l,SL Ol J,��Q 1�I� �0 J,11 � W(7?�-� S� : Z i b00Z-LZ-2�dd - 3uilding nspections 763-572-3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY >ATE � � ( O y.� �ITE ADDRESS � 1 i � � 'HIS APPLICANT IS: �OVJNER PROPERTY OWNER/ NAME: � TENANT ADDRESS: PHONE: CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: YOUR E-MAIL ❑CONTRACTOR �-� 2 rt 91�; 1 i STATE LICENSE #_ ADDRESS: PHONE ❑ SINGLE FAMILY/NE ❑ TWO FAMILY/NEW ❑ BASEMENT FINISH ❑ DECK DESCRIBE WORK BEING DONE: SIZE OF IlvIPROVEMENT ROOFING ❑ HOUSE ONLY NUMBER OF SQUAAES O HOUSE & GARAGE GARAGES ❑ ATTACHED GARAGE PROPOSED SIZE: ❑ DETACHED GARAGE PROPOSED HEIGHT: SIDING � Vinyl OSoffit O Aluminum ❑ Trim ❑ Other ❑ Fascia WINDOWS IN EXISTING OPENINGS OYes ❑No LACATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOVJ TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LA] (USING THE 1997 U.B.0 FEE SCHEDULE) T[ITAL JOB VALUATION $ OCCUPANCY �_CITY� �• EXP DATE C FAX ❑ GAR.AGE/SHED �tooF ❑ SIDING ❑ SWIMMING POOL ❑ ADDITION pIR ❑ REMODELING p�CiCe• ��— � LENGTH Permit No. -- EYI 3 Received By: Date Rec' d: � i d�' � .c�sn, TE_ZIP_ j,�� Z ' STATE ZIP SIZE STORIES O WINDOWS � DRAIN TILE � OTHER WIDTH HEIGHT Permit Fee Plan Review Fire Surchazge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due Ft. BASEMENT REMODELING SUBMIT: 1. Existing F7oor Plan 2. Proposed floor plan 3. List of structura] members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & PORCHES SUBMIT: I. Site Plan/Survey showing the existing structures and proposed project 2. Two sets of construction plans 3. Energy Calculations 30R AND MATERIALS: TYPE $ �f j, � See Back Page for Fee Schedule $ --- 65% of Building Pernvt Fee $ _�� f .001 times the total job valuation $ 1'� ��i .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $1550 per SAC Unit (Plans to MWCC for detemzination) g ft+6ft= ftx$20=$ $ $450 Conservation Plan Review $ � Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ 7 Make checks a able to: Ci of Fridle Attach Pi1CATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a pemut and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINTNAME DATE tions Building MECHANICAL Permit rTo.: r- Inspections RESIDENTIAL APPLICATION Received By:_�_ 763-572-3604 CITY OF FRIDLEY Date xec'ct: `�"7 -!J 763-502-4977 FAX �� i-i-zo�o DATE YOUR �MAIL ADDRESS • SITE ADDRESS ��LJ � �PPi�Q � � • � L THIS APPLICANT IS: � OWNER �ONTRACTOR PROPERTY N�: OWNER/ ADDRESS: CITY STATE ZIP TENANT pHONE:`Q � - '�I�� 4-a'I I CONTRACTOR COMrarrY NA � SUBMIT A COPY OF CONTACT PERSON: ��A �%L YOUR STATE STATE LICENSE # EXP DATE �pn` LicENSEwi� nDD�ss: �11� �� t�l��acG�crr�r �Y�. STATE N11ffir�� APPLICATION PHO� � a - ► F� � � � � �� L PERMIT TYPE �INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK' � �W � �PLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK ��C� �' �C.. FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOV� PROVIDE HEAT LOSS CALC'S PER MANUAL J 2006 A HRAE HANDBOOK. ,I� 2'1 5�� Equipment Installed MFG: �,i � v i'� MODEL: U r I'� M bJl.� a, '�� MFG: MODEL: SIZF/BTU ` MFG: MODEL: SIZE/BTU \ A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGEJOVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 _FCJRNACE $35.00 GAS LTNIT HTR $10.00 _CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTII.,ATOR $15.00 ._.; ..�, �..':,M-�* t ��, -, �` �ie��e�ai�t�r�>t� �lfl.ti� �r �1�.�ti' "� ; , _ ., , -, . �, _ � . " } ,' . � , . : , - , . � . . , ..� � � , �, rY �Uti3��i'O�f11CfUI�3.� ��:� »y.,.�.,�.. X ��J.i�Q � �.�,�...-.�.: < ` . ��111�I"4� �7Cfit�F� � �i"J�:�i� � 7C ��.{�ii �_.°" �� ` �l�i��'rif�'LXttlie3:�'�3�':t�4 X��:� � �,` � •� � �� , �� 5.',� �`�=�� '" `� ��, ,,, THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which re uires review and approvai of plans. SIGNATURE OF APPLICANT �� s ' PRINT NAME�� I�� S 1 1 1�1 1/ 1 DATE��____ APPROVAL INSPECTORS SIGNATURE DATE . � .. _ �� r�c��: , s'�.�R �k�c� ��t� �� r� �`�� $��it��r�� i��c�t� •, . � . ,; t ,, City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977